Anesthesia Specialists of Warren, LLC
Organization Active NPI Anesthesiology Physician · Phillipsburg, NJ
NPI 1104354422 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1104354422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIA SPECIALISTS OF WARREN, LLC
- Practice address
- 185 Roseberry St
Phillipsburg, NJ 08865-1690 - Phone
- (610) 954-5810
- NPI assigned
- May 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Robert Dequevedo, MD
- Title
- Authorized Official
- Phone
- (610) 954-5810
Practitioners 165
-
Guo-Gang Chen, MD
-
Ying Sun, CRNA
-
Lori B Bittenbender, CRNA
-
Pinxia Chen, M.D.
-
Brett Doremus, RN, DNP
-
Eric Faden, M.D.
-
Sheri L Floyd, CRNA
-
Monica Goel, M.D.
-
Adam C Gossar, CRNA
-
Matthew Porter Grimaldi, M.D.
-
Andrew Haja, CRNA
-
Sharon Sandra Heisner, CRNA
-
Kevin Lee, DO
-
Brittany Elizabeth Lynn, CRNA
-
Alexander W Moy, CRNA
-
Michael Mylnarsky, M.D.
-
Anna NG- Pellegrino, M.D.
-
Shilpa Prabhu, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170809001980 | NJ | Part B Supplier - Clinic/Group Practice | 5294006250 |
Receives reassigned benefits from 68 practitioners Practice locations: Phillipsburg, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
185 Roseberry St
Phillipsburg, NJ 08865-1690
Mailing address
PO Box 327
Souderton, PA 18964-0327
Other providers in Phillipsburg, NJ
- Joseph Anthony Amendolaro Jr.
- Ameribalance LLC
- Andrew Lian-Jie Li LLC
- Andrew T. Smith,M.D., P.C.
- James Andrews
- Kevin Angeles
- Raghuveer Annam
- Joseph M Antario
- Anthony Doran LLC
- Jeevitha Anthony
All providers in Phillipsburg, NJ · Anesthesiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.